RN Endoscopy GI Lab Study Practice – Newest 2026/2027
Original Clinical-Practice Q&A
Introduction
They practice exam cover pre-procedure, intra-procedure, recovery, sedation,
complications, infection prevention, equipment, and common GI procedures. The
clinical points are aligned with current ASGE guidance on GI endoscopy safety,
staffing, sedation, monitoring, and infection control.
### Questions 1–25
**1.** A patient scheduled for an EGD tells the RN, “I drank a glass of water about an
hour ago.” What is the nurse's priority action?
A. Proceed because water does not affect aspiration risk
B. Notify the endoscopist/anesthesia team and verify the facility's fasting
requirements
C. Give an antiemetic
D. Ask the patient to drink more water
**Answer: B.** Recent oral intake may affect procedural and sedation safety and
should be evaluated before proceeding.
---
,**2.** Which assessment is most important immediately before administering
procedural sedation?
A. Last bowel movement
B. Favorite food
C. Airway, respiratory status, vital signs, allergies, and relevant medical history
D. Family medical history only
**Answer: C.**
---
**3.** During moderate sedation, the patient becomes difficult to arouse and
develops shallow respirations. What should the RN do first?
A. Continue the procedure
B. Recognize possible deeper-than-intended sedation and initiate airway/respiratory
support
C. Give oral fluids
D. Place the patient in a sitting position and leave the room
**Answer: B.** Staff providing sedation must recognize unintended deeper sedation
and be prepared to rescue the patient. ([ASGE][2])
---
,**4.** Which medication is commonly used for procedural sedation because of its
rapid onset and short duration?
A. Propofol
B. Warfarin
C. Lactulose
D. Sucralfate
**Answer: A.**
---
**5.** A patient develops oxygen desaturation during an endoscopic procedure.
What is the priority?
A. Document the event after the procedure
B. Assess airway and breathing and provide appropriate oxygen/airway support
C. Ask the patient to sign another consent form
D. Remove the IV
**Answer: B.**
---
**6.** Which finding after colonoscopy requires the most immediate nursing
attention?
, A. Mild transient bloating
B. Passing flatus
C. Severe abdominal pain with rigid abdomen and tachycardia
D. Mild sleepiness after sedation
**Answer: C.** These findings can indicate perforation or another serious
complication.
---
**7.** Which procedure allows direct visualization of the esophagus, stomach, and
duodenum?
A. Colonoscopy
B. EGD
C. ERCP
D. Anorectal manometry
**Answer: B.**
---
**8.** A colonoscopy is primarily used to examine which area?
A. Lower gastrointestinal tract, including the colon and rectum
Original Clinical-Practice Q&A
Introduction
They practice exam cover pre-procedure, intra-procedure, recovery, sedation,
complications, infection prevention, equipment, and common GI procedures. The
clinical points are aligned with current ASGE guidance on GI endoscopy safety,
staffing, sedation, monitoring, and infection control.
### Questions 1–25
**1.** A patient scheduled for an EGD tells the RN, “I drank a glass of water about an
hour ago.” What is the nurse's priority action?
A. Proceed because water does not affect aspiration risk
B. Notify the endoscopist/anesthesia team and verify the facility's fasting
requirements
C. Give an antiemetic
D. Ask the patient to drink more water
**Answer: B.** Recent oral intake may affect procedural and sedation safety and
should be evaluated before proceeding.
---
,**2.** Which assessment is most important immediately before administering
procedural sedation?
A. Last bowel movement
B. Favorite food
C. Airway, respiratory status, vital signs, allergies, and relevant medical history
D. Family medical history only
**Answer: C.**
---
**3.** During moderate sedation, the patient becomes difficult to arouse and
develops shallow respirations. What should the RN do first?
A. Continue the procedure
B. Recognize possible deeper-than-intended sedation and initiate airway/respiratory
support
C. Give oral fluids
D. Place the patient in a sitting position and leave the room
**Answer: B.** Staff providing sedation must recognize unintended deeper sedation
and be prepared to rescue the patient. ([ASGE][2])
---
,**4.** Which medication is commonly used for procedural sedation because of its
rapid onset and short duration?
A. Propofol
B. Warfarin
C. Lactulose
D. Sucralfate
**Answer: A.**
---
**5.** A patient develops oxygen desaturation during an endoscopic procedure.
What is the priority?
A. Document the event after the procedure
B. Assess airway and breathing and provide appropriate oxygen/airway support
C. Ask the patient to sign another consent form
D. Remove the IV
**Answer: B.**
---
**6.** Which finding after colonoscopy requires the most immediate nursing
attention?
, A. Mild transient bloating
B. Passing flatus
C. Severe abdominal pain with rigid abdomen and tachycardia
D. Mild sleepiness after sedation
**Answer: C.** These findings can indicate perforation or another serious
complication.
---
**7.** Which procedure allows direct visualization of the esophagus, stomach, and
duodenum?
A. Colonoscopy
B. EGD
C. ERCP
D. Anorectal manometry
**Answer: B.**
---
**8.** A colonoscopy is primarily used to examine which area?
A. Lower gastrointestinal tract, including the colon and rectum
